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Sacral plexus nerve sheath tumor: case report.

J H Robertson, G R Gropper, S Dalrymple

    Neurosurgery
    |July 1, 1983
    PubMed
    Summary
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    A rare intrapelvic sacral plexus nerve sheath tumor caused chronic sciatica in a young woman. Computed tomography imaging helped identify this unusual tumor location, highlighting the need for comprehensive pelvic imaging in sciatica cases.

    Area of Science:

    • Neurology
    • Oncology
    • Radiology

    Background:

    • Nerve sheath tumors are neoplasms arising from the peripheral nervous system.
    • Intrapelvic locations for these tumors are exceptionally rare, posing diagnostic challenges.
    • Sacral plexus involvement can lead to complex neurological symptoms like chronic sciatica.

    Observation:

    • A case of a young woman presenting with chronic sciatica is detailed.
    • The underlying cause was identified as an intrapelvic sacral plexus nerve sheath tumor.
    • Computed tomography (CT) of the pelvis was instrumental in visualizing the tumor's location.

    Findings:

    • The study confirms an intrapelvic sacral plexus nerve sheath tumor as a cause of chronic sciatica.
    • CT imaging effectively delineated the tumor within the pelvic region.

    Related Experiment Videos

  • This case underscores the importance of considering rare intrapelvic pathologies in sciatica.
  • Implications:

    • Highlights the diagnostic utility of advanced imaging like CT in identifying rare pelvic tumors.
    • Contributes to the understanding of atypical presentations of nerve sheath tumors.
    • Suggests a broader differential diagnosis for chronic sciatica, including intrapelvic nerve sheath tumors.